ST PAUL EYE CLINIC PA (NPI# 1669574646) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1669574646 |
| Entity Type | Organization |
| Organization Name | ST PAUL EYE CLINIC PA |
| Practice Address |
2080 Woodwinds Dr Suite 230 Woodbury MN 55125-2524 |
| Mailing Address |
2080 Woodwinds Dr Suite 110 Woodbury MN 55125-2524 |
| Practice Telephone | 6517386800 |
| Mailing Telephone | 6517386800 |
| Enumeration Date | 2006-09-01 |
| Last Update Date | 2012-06-15 |
| Authorized Official Name | DR. THOMAS J. RICE (PRESIDENT) |
| Authorized Official Telephone | 6517386800 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 332H00000X | Eyewear Supplier (Equipment, not the service) | Suppliers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629170469 | St Paul Eye Clinic Pa | Eyewear Supplier (Equipment, not the service) | 1093 Grand Ave, Saint Paul, MN 55105-3002 | 2006-09-02 |
| 1508968355 | St Paul Eye Clinic Pa | Eyewear Supplier (Equipment, not the service) | 3440 Oleary Ln, Eagan, MN 55123-2340 | 2006-09-02 |
| 1326140161 | St Paul Eye Clinic Pa | Eyewear Supplier (Equipment, not the service) | 200 Thompson Ave E, Saint Paul, MN 55118-3219 | 2006-09-02 |
| 1720173651 | St Paul Eye Clinic Pa | Clinic/Center | 2080 Woodwinds Dr, Suite 110, Woodbury, MN 55125-2523 | 2006-10-04 |
| 1437251287 | St Paul Eye Clinic Pa | Eyewear Supplier (Equipment, not the service) | 1675 Beam Ave, Ste 100, Maplewood, MN 55109 | 2006-09-02 |
| 1306948153 | St Paul Eye Clinic Pa | Eyewear Supplier (Equipment, not the service) | 2680 Snelling Ave N, Suite 110, Roseville, MN 55113-1821 | 2006-09-02 |
| Street Address |
2080 WOODWINDS DR SUITE 230 |
| City | WOODBURY |
| State | MN |
| Zip Code | 55125-2524 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447219274 | Jennifer M Becker | Nurse Practitioner | 2080 Woodwinds Dr, Suite 240, Woodbury, MN 55125-2523 | 2006-03-21 |
| 1124456413 | St. Paul Opticians, Inc. | Eyewear Supplier (Equipment, not the service) | 2080 Woodwinds Dr, Suite 230, Woodbury, MN 55125-2523 | 2013-10-23 |
| 1174750079 | Alla Kelly | Ophthalmology | 2080 Woodwinds Dr, 110, Woodbury, MN 55125-2523 | 2009-06-18 |
| 1760637409 | Christopher C Schnelle | Optometrist | 2080 Woodwinds Dr, Suite 110, Woodbury, MN 55125-2523 | 2008-11-21 |
| 1730361478 | Midwest Surgery Center | Nurse Anesthetist, Certified Registered | 2080 Woodwinds Dr, Suite 110, Woodbury, MN 55125-2523 | 2007-12-05 |
| 1326169160 | Garrett R Griffin | Otolaryngology | 2080 Woodwinds Dr, Suite 120, Woodbury, MN 55125 | 2007-04-02 |
| 1033249065 | Patricia Ann Carroll | Occupational Therapist | 2080 Woodwinds Dr, #240, Woodbury, MN 55125-2523 | 2007-03-07 |
| 1629130521 | Midwest Surgery Center | Clinic/Center | 2080 Woodwinds Dr, Woodbury, MN 55125-2523 | 2006-12-15 |
| 1588754584 | Otolaryngology Head & Neck Surgery, Pa | Hearing Aid Equipment | 2080 Woodwinds Dr, #240, Woodbury, MN 55125-2523 | 2006-10-13 |
| 1720173651 | St Paul Eye Clinic Pa | Clinic/Center | 2080 Woodwinds Dr, Suite 110, Woodbury, MN 55125-2523 | 2006-10-04 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487268728 | Haley Kirkpatrick | Behavior Technician | 721 Commerce Dr., Woodbury, MN 55125 | 2020-09-03 |
| 1689218091 | Jordan Schmidt | Student in an Organized Health Care Education/Training Program | 1740 Welr Dr. #24, Woodbury, MN 55125 | 2019-10-30 |
| 1629619580 | Mackenzie Ann Funke | Occupational Therapist | 721 Commerce Drivve, Woodbury, MN 55125 | 2019-10-02 |
| 1700342029 | Darcy Stivland | Counselor | 1811 Weir Drive #270, Woodbury, MN 55125 | 2019-02-11 |
| 1235609884 | Elizabeth Kennedy Ward | Psychologist | 7582 Currell Blvd Suite 208, Woodbury, MN 55125 | 2018-11-27 |
| 1528573664 | Cory Lee Baumeister | Counselor | 652 Bielenberg Dr, Woodbury, MN 55125 | 2017-12-12 |
| 1760918239 | David James Knight | Dentist | 9950 Valley Creek Rd Ste 150, Woodbury, MN 55125 | 2017-05-03 |
| 1366988826 | Mark Your Home Health Care LLC | Home Health | 6053 Hudson Road, Suite 200, Woodbury, MN 55125 | 2017-01-09 |
| 1518415736 | Kubei Holdings Group LLC | Case Management | 6043 Hudson Rd Ste 340, Saint Paul, MN 55125 | 2016-09-16 |
| 1285087072 | Adrian Jung | Occupational Therapist | 155 Radio Drive, Woodbury, MN 55125 | 2016-07-18 |
| Find all providers in zip 55125 | ||||
| Taxonomy Code | 332H00000X |
| Grouping | Suppliers |
| Classification | Eyewear Supplier (Equipment, not the service) |
| An organization that provides spectacles, contact lenses, and other vision enhancement devices prescribed by an optometrist or ophthalmologist. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093083321 | Visionworks, Inc. | Eyewear Supplier (Equipment, not the service) | 1785 Radio Dr, Suite #b, Woodbury, MN 55125-9496 | 2011-12-01 |
| 1578618617 | Luxottica of America Inc. | Eyewear Supplier (Equipment, not the service) | 8362 Tamarack Vlg Ste 108, Woodbury, MN 55125 | 2007-01-25 |
| 1548345457 | Vision World Inc | Eyewear Supplier (Equipment, not the service) | 1785 Radio Drive, Suite B, Woodbury, MN 55125 | 2006-10-26 |
| 1215945092 | Associated Eye Care Optical LLC | Eyewear Supplier (Equipment, not the service) | 1625 Radio Dr, Suite 310, Woodbury, MN 55125-9407 | 2006-08-04 |
| 1316434624 | Friedberg Eye Associates Pa | Eyewear Supplier (Equipment, not the service) | 661 N Broad St, Woodbury, NJ 08096-1621 | 2018-04-23 |
| 1073038683 | Costco Wholesale Corporation | Eyewear Supplier (Equipment, not the service) | 7070 Tamarack Rd, Woodbury, MN 55125 | 2017-08-04 |
| 1124456413 | St. Paul Opticians, Inc. | Eyewear Supplier (Equipment, not the service) | 2080 Woodwinds Dr, Suite 230, Woodbury, MN 55125-2523 | 2013-10-23 |
| 1871890905 | Luxottica Retail North America Inc | Eyewear Supplier (Equipment, not the service) | 449 Commerce Dr, Woodbury, MN 55125-4872 | 2011-02-25 |
| 1659543031 | Kenneth L. Burke, O.d. | Eyewear Supplier (Equipment, not the service) | 175 Main St S, Woodbury, CT 06798-3448 | 2008-03-26 |
| 1629120266 | Luxottica of America Inc. | Eyewear Supplier (Equipment, not the service) | 1900 Deptford Center Rd, Woodbury, NJ 08096-5624 | 2007-01-16 |
| Find all providers in WOODBURY | ||||
Please comment or provide details below to improve the information on ST PAUL EYE CLINIC PA.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.